Wisdom tooth: I have had a heart attack... - British Heart Fou...

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Wisdom tooth

Picass profile image
15 Replies

I have had a heart attack and had stents fitted and now take aspirin on a regular basis.

I need a wisdom tooth taken out and my dentist has said I need a note from cardiac surgeon to tell me to stop taking aspirin before procedure is this normal practice

Thanks

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15 Replies
MichaelJH profile image
MichaelJHHeart Star

I had a quadruple bypass last year and needed a decayed broken molar taken out this year and continued on aspirin

There was no bleeding problem or should I say problem with bleeding. Your dentist may be being cautious.

My problem was infection. I asked for prophylaxis antibiotics (taken day before, on day of treatment and day after) to avoid infection but was refused. A week later I needed a week's course of horse antibiotics! I personally think it worth asking.

Picass profile image
Picass in reply toMichaelJH

Thanks

MichaelJH profile image
MichaelJHHeart Star in reply toPicass

Because you have had stents stopping aspirin carries a slightly greater risk than otherwise. Because of the half-life of aspirin missing one on the day of treatment may be acceptable. The best thing is to put a call into your cardiologist.

Picass profile image
Picass in reply toMichaelJH

TAmks I am trying that but not getting anywhere

Picass profile image
Picass in reply toMichaelJH

Thanks

Maisie2014 profile image
Maisie2014

I recently checked with a friend of mine who’s a consultant in prosthodontics and restorative dentistry. She said this is no longer required. We’re all different though so maybe check with your cardiologist.

Dolphin14 profile image
Dolphin14

Don't stop any meds without checking with the md. Here in the US I would tell my patient to contact the person who placed the stent and no one else. If it was early on . Later to contact medical cardiologist.

This is something we had to reinforce multiple times before discharge from the hospital.

Picass profile image
Picass in reply toDolphin14

THanks

In the first instance ask to speak to the Secretary - that should get you answers or at least the ball rolling where they may pass you on to another in the Cardiac team. Hope this helps

trash_panda profile image
trash_panda

I had a heart attack and a stent two years ago. A year later I also needed a wisdom tooth removed. I wasn't required to come off aspirin. However, they did say it would take longer to heal and as a precautionary measure they stitched over the wound so there would be less chance of the clot falling out.

Plum53 profile image
Plum53

Hi I had tooth out last year still took aspirin no trouble with bleeding . I would ring your consultants secretary she will be able to get an answer for you. Hope it all goes well for you.

fergusthegreat profile image
fergusthegreat

I had teeth removed while on aspirin and clopidogril.

No problem at all as dentist had a clotting agent if needed.

I'd get a better dentist!

Creations profile image
Creations

I had a '1 on 4' fitted 8 weeks after heart attack and stent fitting. This required removal of 5 teeth, and 6 hours in the dentist chair. The main problem was with the socket where the removed tooth was outside the area of the implants, which required Adrenalin at A&E to stop the bleeding. Other problem was the facial bruising. I looked like I had been beaten up for 3 weeks! BUT all was well after that, and I now have a beautiful and functional set of teeth, which is life changing. I would go through it all again.

Speakeazi profile image
Speakeazi in reply toCreations

Wow. What a fab patient you are. It’s lovely to hear a patient say that their implants are life changing! I hope you are enjoying your food and eating out with friends and family.

Picass profile image
Picass

Thanks for all your help

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